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AGENDA PACKET_2021-11-16
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AGENDA PACKET_2021-11-16
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11/15/2021 11:20:37 AM
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Agenda Packet
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11/16/2021
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Local Assistance Procedures Manual Exhibit 10-O1 <br />Consultant Proposal DBE Commitment <br />EXHIBIT 10-O1 CONSULTANT PROPOSAL DBE COMMITMENT <br />1.Local Agency:2.Contract DBE Goal: <br />3.Project Description: <br />4.Project Location: <br />5.Consultant's Name: 6.Prime Certified DBE: <br />7.Description of Work, Service, or Materials <br />Supplied <br />8.DBE <br />Certification <br />Number <br />10.DBE % <br />% <br />Local Agency to Complete this Section <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />17.Local Agency Contract Number: <br />18.Federal-Aid Project Number: <br />19.Proposed Contract Execution Date: <br />20.Consultant’s Ranking after Evaluation: __________________________ <br />Local Agency certifies that all DBE certifications are valid and information on <br />this form is complete and accurate. <br />9.DBE Contact Information <br />11.TOTAL CLAIMED DBE PARTICIPATION <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />regardless of tier. Written confirmation of each listed DBE is <br />required. <br />12. Preparer's Signature 13. Date <br />14. Preparer's Name 15. Phone <br />16. Preparer's Title <br />DISTRIBUTION: Original – Included with consultant’s proposal to local agency. <br />ADA Notice: For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654- <br />3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />LPP 18-01 Page 1 of 2 <br />January 2019 <br />4 <br />City of Santa Ana <br />City of Santa Ana <br />On-Call Property Appraisal Services <br />TBD <br />Santolucito Doré Group, Inc. <br />Property Appraisal and Appraisal Review Services 43345 100% <br />Christine S. Santolucito, R/W-AC <br />951-225-3500 ext. 101 <br />christie@sdgroupinc.com <br />100 <br />9/15/2021 <br />Christine S. Santolucito 951-225-3500 <br />President <br />City Council 17 –75 11/16/2021
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